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NPI 1770511453 · Milwaukee, WI · Internal Medicine Physician
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Jeffrey Bahr is a internal medicine physician provider located in Milwaukee, Wisconsin. This profile covers 118 Medicare and 44 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jeffrey Bahr |
| Address | 3003 W Good Hope Rd |
| City | Milwaukee |
| State | WI |
| ZIP | 53209 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | June 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.1M |
| Medicaid | $356.4K |
Payer mix and scale: This provider reports $3.1M in Medicare revenue versus $356.4K in Medicaid revenue, indicating Medicare is the dominant payer for this practice by far. The scale difference suggests the provider’s business and revenue growth are primarily driven by Medicare beneficiaries rather than Medicaid patients.
Medicare revenue concentration and top drivers: The top 3 Medicare codes by revenue account for 71.3% of this provider's total Medicare revenue, driven mainly by 36415 ($1.4M, 45.2%), 91322 ($590.5K, 19.7%), and 0240U ($191.1K, 6.4%). This mix points to a business model heavily weighted to high-volume phlebotomy/collection (36415) and immunization activity (91322), with a third code of unclear descriptor (0240U) contributing meaningfully to revenue.
Medicare competitive standing and outlier status: The provider is a national outlier on key Medicare codes — 36415 ranks #28 of 86467 providers (100th percentile; extreme outlier) and 91322 ranks #15 of 29357 providers (100th percentile; extreme outlier), while 0240U ranks #5 of 184 providers (98th percentile). Those rankings indicate this clinician is an unusually large national contributor for venipuncture and COVID-19 vaccine administration compared with peers.
Medicaid revenue concentration and top drivers: The top 3 Medicaid codes by revenue account for 48.6% of this provider's total Medicaid revenue, with 87651 (Strep A testing) at $71.8K (21.0%), 99000 (specimen prep/transport) at $58.3K (17.0%), and 0240U at $36.5K (10.7%) leading. This distribution shows Medicaid revenue is concentrated in diagnostic testing and specimen handling rather than in-office evaluation or prolonged visits.
Medicaid competitive standing in-state: On Medicaid, the provider ranks highly for specimen-preparation work — 99000 ranks #10 of 263 providers in-state (97th percentile) — while many individual test codes (for example 87651) sit at more typical, unremarkable in-state volumes (87651 ranks #42 of 163, 75th percentile). In aggregate, the practice is an important local contributor to specimen collection and lab-related billing but not as singularly dominant in Medicaid diagnostic testing as it is nationally on certain Medicare codes.
Service-line implications across payers: The overall CPT mix — dominated by venipuncture (36415), routine lab panels (80053, 85025, 80048) and vaccine administration codes (91322, 90480, 90662) — indicates the practice operates as a high-volume collection and immunization site with substantial downstream lab activity. Multiple lab codes appearing in the top lists for both Medicare and Medicaid suggest lab services and specimen logistics are core to the operation rather than exclusively cognitive office visits.
Concentration risk and operational sensitivity: Because the top 3 Medicare codes produce 71.3% of Medicare revenue and the top 3 Medicaid codes produce 48.6% of Medicaid revenue, the practice’s revenue profile is concentrated in a small set of services (notably phlebotomy, specimen prep, and vaccinations). Changes in reimbursement, test demand, or vaccine campaign intensity could therefore have outsized effects on overall revenue.
Tenure and likely operational stability: The provider’s NPI was enumerated on 2006-06-29 (~20 years ago), which indicates a long tenure in the market. That level of tenure can support established referral patterns and sustained high-volume operational workflows that align with the heavy laboratory and vaccination billing mix described above.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
118 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 168,830 | $10 | $1.4M |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 4,220 | $140 | $590.5K |
| 0240U | N/A | 1,410 | $140 | $191.1K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 4,220 | $40 | $160.3K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 15,750 | $10 | $157.5K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 21,290 | $10 | $149K |
| 0124A | N/A | 1,870 | $40 | $71.2K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 8,240 | $10 | $65.9K |
| 0134A | N/A | 990 | $40 | $36.8K |
| 87651 | The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat. | 990 | $30 | $33.5K |
Showing 1–10 of 118
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 118 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
44 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87651 | The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat. | 2,180 | $30 | $71.8K |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 14,580 | $1 | $58.3K |
| 0240U | N/A | 1,010 | $40 | $36.5K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 2,910 | $10 | $20.4K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 1,630 | $10 | $16.3K |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 360 | $40 | $15.7K |
| 0001A | N/A | 450 | $30 | $13.4K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 270 | $50 | $12.8K |
| 0002A | N/A | 330 | $40 | $12.4K |
| 0124A | N/A | 280 | $40 | $10.5K |
Showing 1–10 of 44
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
44 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 150 | 260 | 3,590 | $20 | $232.2K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 158 | 220 | 2,770 | $20 | $120.2K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 175 | 260 | 750 | $40 | $99K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 156 | 300 | 3,190 | $10 | $91.3K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 128 | 170 | 330 | $80 | $90.9K |
| 87651 | The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat. | 42 | 160 | 840 | $40 | $75.5K |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 64 | 110 | 460 | $30 | $60.6K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 222 | 230 | 1,030 | $10 | $56.3K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 132 | 170 | 2,060 | $10 | $53.5K |
| 0240U | N/A | 12 | 40 | 340 | $30 | $51.5K |
Showing 1–10 of 44
Other providers in the same ZIP code as Jeffrey Bahr, ranked by combined Medicare and Medicaid revenue.
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